Provider Demographics
NPI:1053319319
Name:PROGRESSIVE HOME CARE, INC
Entity Type:Organization
Organization Name:PROGRESSIVE HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ASKEW
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:330-668-2657
Mailing Address - Street 1:231 SPRINGSIDE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4530
Mailing Address - Country:US
Mailing Address - Phone:330-668-2657
Mailing Address - Fax:330-666-2688
Practice Address - Street 1:231 SPRINGSIDE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-4530
Practice Address - Country:US
Practice Address - Phone:330-668-2657
Practice Address - Fax:330-666-2688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH367689251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health